Importance of Site Rotation Guide - ACCU-CHEK Insulin Pumps
Importance of Site Rotation Guide - ACCU-CHEK Insulin Pumps
Importance of Site Rotation Guide - ACCU-CHEK Insulin Pumps
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Horizontal Pattern<br />
Zig Zag Pattern<br />
Infusion <strong>Site</strong> <strong>Rotation</strong><br />
Abdominal <strong>Site</strong> <strong>Rotation</strong> Patterns<br />
• Using a pattern can help you manage site rotation<br />
• Choose a new site at least 2 inches (5 cm) from a recent site<br />
• Use any rotation pattern that fits your body and lifestyle<br />
• Avoid the area within 2 inches (5 cm) <strong>of</strong> your belly button<br />
• Avoid areas under waistbands<br />
Curve Pattern<br />
Crisscross Pattern
<strong>Importance</strong> <strong>of</strong> <strong>Site</strong> <strong>Rotation</strong><br />
<strong>Site</strong> <strong>Rotation</strong><br />
• Essential to successful insulin pump therapy<br />
• Change site location with every cannula change<br />
• Plan your rotation pattern to ensure sites have time<br />
to heal<br />
Benefits <strong>of</strong> <strong>Site</strong> <strong>Rotation</strong><br />
• Lower infection risk<br />
• Optimized insulin absorption<br />
• Reduced potential for fatty tissue overgrowth<br />
• Reduced potential for scarring<br />
• Reduced variability in blood sugar levels<br />
<strong>Site</strong> <strong>Rotation</strong> Frequency<br />
• Immediately<br />
- Pain, irritation or bleeding at the infusion site<br />
- Two correction boluses fail to reduce high blood<br />
sugar level<br />
- Ketones are present in your blood or urine<br />
- Blood appears in the infusion set tubing or around<br />
the cannula<br />
• Every 24-48 hours<br />
- Steel cannula<br />
- Pregnancy<br />
• Every 48-72 hours<br />
- S<strong>of</strong>t cannula<br />
Note: Do not change your infusion set before going<br />
to bed since your blood glucose must be measured<br />
1 to 3 hours after insertion.<br />
Infusion Set Change<br />
• If your blood glucose level is unexplainably high or<br />
your pump sounds an occlusion alarm, check for<br />
clogs and leaks<br />
• If in doubt, change your entire infusion set<br />
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and ULTRAFLEX are trademarks <strong>of</strong> Roche.<br />
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Potential Consequences<br />
<strong>of</strong> Poor <strong>Site</strong> <strong>Rotation</strong><br />
Front View<br />
Side View<br />
• Increased risk <strong>of</strong> infection<br />
• Unpredictable insulin absorption<br />
• “Pump bumps” found at the point <strong>of</strong> insertion<br />
• Scar tissue<br />
• Lipohypertrophy—enlargement in the infusion<br />
site area<br />
- Can result in poor insulin absorption and<br />
increased insulin use<br />
- Infusion sites outside <strong>of</strong> the lipohypertrophy<br />
area may absorb insulin differently. Frequent<br />
blood sugar monitoring is recommended.<br />
TIP Write the date on the infusion set adhesive<br />
dressing as an infusion set change reminder.<br />
For more tips, see the Infusion <strong>Site</strong> Management<br />
<strong>Guide</strong> on disetronic-usa.com.
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